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20 Dayton St Sw Ronan MT 59864-3005 | |
| (406) 676-7600 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 20 Dayton St Sw, Ronan, Montana |
| Authorized Official Name and Position | Amber Dailey (OWNER) |
| Authorized Official Contact | 4065702600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
20 Dayton St Sw Ronan MT 59864-3005 Ph: (406) 676-7600 | 20 Dayton St Sw Ronan MT 59864-3005 Ph: (406) 676-7600 |
| NPI Number | 1386168078 |
|---|---|
| Provider Enumeration Date | 08/03/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386168078 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2400 (Montana) | Primary |
| 1223G0001X | Dentist - General Practice | 2487 (Montana) | Secondary |